인체 부위별 경혈에 따른 득기감의 질적, 양적 특성에 관한 연구 = The Clinical Study about Qualitative and Quantitative Characteristics of Acupuncture Sensation According to the Body Parts

다국어 초록 (Multilingual Abstract)

Objectives : This study was designed to find out the differences of the acupuncture sensationby body parts.
Methods : Sixty-three subjects got acupuncture at five acupoints which represent five differentbody parts ; head(GV20), abdomen(ST25), back(BL24), upper extremity(LU9), lower extremity(GB40).
All subjests were asked to complete questionnaire rating the intensity of 13 kinds ofacupuncture sensation(acupuncture sensation scale, ASS). We compared the subjectiveacupuncture sensation between the body parts.
Results : Intensity of acupuncture sensation of GV20 was significantly lower than LU9(p=0.001)and GB40(p=0.000). Sum of acupuncture sensation of GV20 was also significantly lower thanBL24(p=0.011), LU9(p=0.004) and GB40(p=0.033). Among the 13 types of acupuncture sensationscale, tingling and aching were well sensed at GV20 and ST25, aching, tingling and sharp painwere well sensed at LU9, GB40, dull pain, deep pressure and heaviness were well sensed atBL24.
Conclusions : Head showed significantly lower intensity of acupuncture sensation than upperextremity and lower extremity. Among the acupuncture sensation scales, tingling and achingwere well sensed at head and abdomen, aching, tingling and sharp pain were well sensed atupper extremity and lower extremity, dull pain, deep pressure and heaviness were well sensedat back.

참고문헌 (Reference)

1 채윤병, "거짓침 피부접촉부 형태에 따른 침감 차이 연구" 경락경혈학회 23 (23): 85-99, 2006

2 World Health Organization, "WHO standard acupuncture point locations in the Western Pacific Region" World Health Organization 2008

3 Whitton JT, "The thickness of the epidermis" 89 (89): 467-476, 1973

4 Vincent CA, "The significance of needle placement site in acupuncture" 33 (33): 489-, 1989

5 Greenberg S, "The History of Dermatome Mapping" 60 (60): 126-131, 2003

6 Korean Acupuncture & Moxibustion Medicine Society, "The Acupuncture and Moxibustion" Jipmoondang 100-108, 2008

7 Scadden LA, "Tactile pattern recognition and body loci" 2 (2): 333-336, 1973

8 Defrin R, "Spatial summation of pressure pain: effect of body region" 106 (106): 471-480, 2003

9 Colbert A, "Skin Impedance Measurements for Acupuncture Research: Development of a Cintinuous Recording System" 5 (5): 443-450, 2008

10 Park IS, "Quantitative Sensory Test: a study of acupuncture point sensitivity by sites" Dongguk University 2013

11 Kong J, "Psychophysical outcomes from a radomized pilot study of manual, electro, and sham acupuncture treatment on experimentally induced thermal pain" 6 (6): 55-64, 2005

12 Hudspith MJ, "Physiology of pain, In Foundations of anesthesia: basic sciences for clinical practice" Elsevier Health Sciences 267-285, 2006

13 Lamont LA, "Physiology of pain" 30 (30): 703-728, 2000

14 Zheng BY, "Neurobiology of Acupuncture" Elsevier 55-, 2013

15 Langevin HM, "Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture" 15 (15): 2275-2282, 2001

16 Zhang G, "Key regions of the cerebral network are altered after electroacupuncture at the Baihui (GV20) and Yintang acupuncture points in healthy volunteers: an analysis based on resting fcMRI" 31 (31): 2013

17 Kopf Andreas, "Guide to pain management in low-resource setting" Internatuinal Association for pain relief 14-, 2010

18 Fillingim R, "Gedner differences in the responses to noxious stimuli" 4 (4): 209-221, 1995

19 Fang JL, "Functional MRI in healthy subjects during acupuncture: different effects of needle rotation in real and false acupoints" 46 (46): 359-362, 2004

20 Zhang W, "Evaluation of Therapeutic Effect and Safety of Deep Acupuncture at Tianshu(ST 25) for Treatment of Slow Transit Constipation" 47 : 105-107, 2006

21 Beijing Zhong Yi Xue Yuan, "Essentials of Chinese acupuncture" Foreign Languages Press 1980

22 Zhang WB, "Effects and Mechanism of Acupuncture Based on the Principle of Meridians" 2013

23 Xu SB, "Effectiveness of strengthened stimulation during acupuncture for the treatment of Bell palsy: a randomized controlled trial" 185 (185): 473-478, 2013

24 Choi YJ, "Does the effect of acupuncture depend on needling sensation and manipulation?" 2013

25 Park HJ, "Does eqi(needle sensation) exist?" 30 (30): 45-50, 2002

26 Mao J, "De qi: Chinese acupuncture patients’ experiences and beliefs regarding acupuncture needling sensation – an exploratory survey" 25 (25): 158-165, 2007

27 Kim YJ, "Content Validity of an Acupuncture Sensation Questionnaire" 14 (14): 957-963, 2008

28 Zhang YQ, "Clinical experience in acupuncture treatment of allergic rhinitis" 29 (29): 186-189, 2009

29 Chiu ML, "Chinese acupuncture and moxibustion" Churchill Livingstone Edinburgh etc 1993

30 Wang K., "Annotation version of the Yellow Emperor's Classics of Medicine" Seongbosa 121-223, 1983

31 Ghassemi A, "Anatomy of the SMAS Revisited" 27 (27): 258-264, 2003

32 Andersson S, "Acupuncture—from empiricism to science: Functional background to acupuncture effects in pain and disease pain and disease" 45 (45): 271-281, 1995

33 Chen Chiu Hseuh, "Acupuncture: A comprehensive text" Shanghai college of traditional medicine 1981

34 MacPherson H, "Acupuncture needle sensations associated with De Qi: a classification based on experts' ratings" 12 (12): 633-, 2006

35 Kong J, "Acupuncture de qi, from qualitative history to quantitative measurement" 13 (13): 1059-, 2007

36 Yin CS, "Acupuncture Perception( Deqi) Varies over Different Point and by Gender with Two Distinct Distribution Patterns of Dullness and Pain" 24 (24): 635-647, 2009

37 Lin JG, "A survey of the depth for De-Qi in acupuncture therapy" 2 (2): 101-103, 1996

38 Wang KM, "A study on the receptive field of acupoints and the relationship between characteristics of needling sensation and groups of afferent fibres" 28 (28): 963-971, 1985

39 Lee BH, "A statistical study on the correlation between Bokmohyul·Baesuhyul and anatomical organs and conjecture of the orgnas of Simpo and Samcho" 34 (34): 45-62, 2009

40 Kosek E, "A comparison of pressure pain thresholds in different tissues and body regions. Long-term reliability of pressure algometry in healthy volunteers" 25 (25): 117-124, 1993